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Chapter 14. Atrial Fibrillation Medication Therapy Management Data Set

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Risk factors for atrial fibrillation include all of the following EXCEPT:

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a. Increased age

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b. Diabetes

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c. Genetics

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d. Low body mass index

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AB is a 65-year-old female who was just diagnosed with AF. She has no symptoms, and states that she's "never been sick a day in my life." Her past medical history is significant for seasonal allergies, for which she uses Claritin (loratadine) as needed. She takes no other medications, and has no drug allergies. Which of the following is the BEST choice for initial management of AF in AB?

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a. Amlodipine 5 mg once daily

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b. Amiodarone 400 mg 3 times daily

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c. Metoprolol 12.5 mg twice daily

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d. Sotalol 80 mg twice daily

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When counseling a patient about treatment goals in the management of AF, a reasonable target heart rate would be:

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a. 100-115 beats per minute at rest or during exercise

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b. A 30% decrease from baseline

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c. 75 beats per minute during exercise

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d. 70 beats per minute at rest

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Which of the following is the most appropriate definition of AF using living room language?

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a. An irregular and often rapid heart rate that commonly causes poor blood flow to the body

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b. An arrhythmia that may be the result of long-standing hypertension, heart failure, or other cardiac issues

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c. A condition that will give you a stroke

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d. A rapid heart rate, originating in the atria, resulting in a lack of sufficient blood circulation within the periphery

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A 75-year-old male with a history of heart failure with reduced ejection fraction and AF has a resting heart rate of 61 beats per minute. He was admitted to the hospital 4 weeks ago for acute HF. Today, in clinic, his provider determines that he is still having symptoms related to AF. Which of the following would be the BEST medication to add?

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a. Dronedarone 400 mg twice daily

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b. Metoprolol 50 mg twice daily

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